Tracheal Bronchus Detected During General Anesthesia: A Case Report
Anesth Prog. 2023 Dec 1;70(4):173-177. doi: 10.2344/anpr-70-02-09.ABSTRACTA tracheal bronchus is a congenital abnormality of the tracheobronchial tree in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We herein report a case in which a tracheal bronchus was incidentally found after induction of general anesthesia, and we discuss the potential airway management problems that may have ensued. An 80-year-old man was scheduled for buccal mucosa resection and abdominal skin grafting for treatment of squamous cell carcinoma of the left buccal mucosa. Because of trismus and anticipate...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Toru Yamamoto Tatsuru Tsurumaki Hiroko Kanemaru Kenji Seo Source Type: research

Ventricular Tachycardia Following Ephedrine During Dexmedetomidine Dental Procedural Sedation
We present the case of a 46-year-old man who received ephedrine for hypotension after surgery for a mandibular lesion under intravenous (IV) moderate sedation with dexmedetomidine (DEX) and experienced transient ventricular tachycardia (VT). The patient was scheduled to have cystectomy and multiple apicoectomies for the mandibular periapical infection and the simple bone cyst. Other than obesity, snoring, and a nonalcoholic fatty liver, he denied any other significant medical history, medications, or allergies. The surgery was successful; however, his blood pressure dropped after stopping the DEX infusion. Ephedrine was ad...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Shota Abe Kanami Suzuki Maki Hamamura Takashi Tamanoi Koji Takahashi Keiichiro Wakamatsu Kenji Yoshida Hiroyoshi Kawaai Shinya Yamazaki Source Type: research

Management of an Ingested Foreign Body in a COVID-Positive Patient
Anesth Prog. 2023 Dec 1;70(4):178-183. doi: 10.2344/anpr-70-03-03.ABSTRACTThis case report describes a 51-year-old man who swallowed an amalgam fragment dislodged during dental treatment performed without a throat screen. The patient was transferred to the emergency department, where the foreign body was confirmed to be in the esophagus following radiographic imaging. Foreign body removal from the esophagus is routinely achieved via esophagogastroduodenoscopy (EGD). However, this incident occurred in September 2020, at the height of the COVID-19 pandemic. Because of the patient's preoperative positive COVID-19 test, the op...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Tiffany Smith Rachel Blum Raquel Rozdolski Source Type: research

The Use of Pharyngeal Throat Packs in Dental Anesthesia
Anesth Prog. 2023 Dec 1;70(4):196-197. doi: 10.2344/anpr-70-03-07.NO ABSTRACTPMID:38221694 | DOI:10.2344/anpr-70-03-07 (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Takuro Sanuki Naotaka Kishimoto Shota Tsukimoto Kanta Kido Source Type: research

The ASDA-AAOMS-AAP Rules Template
Anesth Prog. 2023 Dec 1;70(4):157-158. doi: 10.2344/006302.NO ABSTRACTPMID:38221695 | DOI:10.2344/006302 (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Kyle J Kramer Source Type: research

Anesthetic Management of a Patient With Spinocerebellar Ataxia Type 1
We report the management of a 43-year-old man with SCA1 who underwent general anesthesia for open reduction and internal fixation of a mandibular fracture. Although anesthesia-induced vocal cord paralysis has been reported in patients with SCD, nasotracheal intubation was performed uneventfully with video laryngoscope. After taking into consideration the increased risk of postoperative respiratory depression in patients with SCD, rocuronium dosing was titrated carefully, and fentanyl was not used during surgery. Preparation for an anticipated difficult airway and avoiding significant respiratory depression are crucial when...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Sakura Takeda Sumire Idzuchi Kentaro Mizuta Source Type: research

A Case of Anterior Arytenoid Cartilage Dislocation During Nasal Tracheal Intubation Using an Indirect Video Laryngoscope
Anesth Prog. 2023 Dec 1;70(4):191-193. doi: 10.2344/837325.ABSTRACTArytenoid cartilage dislocation can occur as a complication of tracheal intubation and laryngeal trauma, but its occurrence with indirect video laryngoscopy has not been reported. This paper reports anterior arytenoid dislocation occurring after nasotracheal intubation performed under indirect laryngoscopy using a video laryngoscope (McGRATH MAC; Medtronic). The dislocation is presumed to have resulted from the laryngoscope blade being initially inserted too deeply and applying pressure to the posterior aspect of the left cricoarytenoid joint. This patient'...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Keiko Fujii-Abe Maho Ikeda Manami Yajima Hiroshi Kawahara Source Type: research

The Impact of COVID-19 on Dental Anesthesiologists: An Online Survey of Board-Certified Dental Anesthesiology Specialists of the Japanese Dental Society of Anesthesiology
CONCLUSION: Even though many Japanese dental anesthesiologist specialists lost income because of COVID-19, they maintained their job satisfaction.PMID:38221698 | DOI:10.2344/930714 (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Takuro Sanuki Hidetaka Kuroda Uno Imaizumi Shota Tsukimoto Norika Katagiri Ayako Mizutani Mari Ohnaka Shinji Kurata Naotaka Kishimoto Kanta Kido Source Type: research

Tracheal Bronchus Detected During General Anesthesia: A Case Report
Anesth Prog. 2023 Dec 1;70(4):173-177. doi: 10.2344/anpr-70-02-09.ABSTRACTA tracheal bronchus is a congenital abnormality of the tracheobronchial tree in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We herein report a case in which a tracheal bronchus was incidentally found after induction of general anesthesia, and we discuss the potential airway management problems that may have ensued. An 80-year-old man was scheduled for buccal mucosa resection and abdominal skin grafting for treatment of squamous cell carcinoma of the left buccal mucosa. Because of trismus and anticipate...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Toru Yamamoto Tatsuru Tsurumaki Hiroko Kanemaru Kenji Seo Source Type: research

Ventricular Tachycardia Following Ephedrine During Dexmedetomidine Dental Procedural Sedation
We present the case of a 46-year-old man who received ephedrine for hypotension after surgery for a mandibular lesion under intravenous (IV) moderate sedation with dexmedetomidine (DEX) and experienced transient ventricular tachycardia (VT). The patient was scheduled to have cystectomy and multiple apicoectomies for the mandibular periapical infection and the simple bone cyst. Other than obesity, snoring, and a nonalcoholic fatty liver, he denied any other significant medical history, medications, or allergies. The surgery was successful; however, his blood pressure dropped after stopping the DEX infusion. Ephedrine was ad...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Shota Abe Kanami Suzuki Maki Hamamura Takashi Tamanoi Koji Takahashi Keiichiro Wakamatsu Kenji Yoshida Hiroyoshi Kawaai Shinya Yamazaki Source Type: research

Management of an Ingested Foreign Body in a COVID-Positive Patient
Anesth Prog. 2023 Dec 1;70(4):178-183. doi: 10.2344/anpr-70-03-03.ABSTRACTThis case report describes a 51-year-old man who swallowed an amalgam fragment dislodged during dental treatment performed without a throat screen. The patient was transferred to the emergency department, where the foreign body was confirmed to be in the esophagus following radiographic imaging. Foreign body removal from the esophagus is routinely achieved via esophagogastroduodenoscopy (EGD). However, this incident occurred in September 2020, at the height of the COVID-19 pandemic. Because of the patient's preoperative positive COVID-19 test, the op...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Tiffany Smith Rachel Blum Raquel Rozdolski Source Type: research

The Use of Pharyngeal Throat Packs in Dental Anesthesia
Anesth Prog. 2023 Dec 1;70(4):196-197. doi: 10.2344/anpr-70-03-07.NO ABSTRACTPMID:38221694 | DOI:10.2344/anpr-70-03-07 (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Takuro Sanuki Naotaka Kishimoto Shota Tsukimoto Kanta Kido Source Type: research

The ASDA-AAOMS-AAP Rules Template
Anesth Prog. 2023 Dec 1;70(4):157-158. doi: 10.2344/006302.NO ABSTRACTPMID:38221695 | DOI:10.2344/006302 (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Kyle J Kramer Source Type: research

Anesthetic Management of a Patient With Spinocerebellar Ataxia Type 1
We report the management of a 43-year-old man with SCA1 who underwent general anesthesia for open reduction and internal fixation of a mandibular fracture. Although anesthesia-induced vocal cord paralysis has been reported in patients with SCD, nasotracheal intubation was performed uneventfully with video laryngoscope. After taking into consideration the increased risk of postoperative respiratory depression in patients with SCD, rocuronium dosing was titrated carefully, and fentanyl was not used during surgery. Preparation for an anticipated difficult airway and avoiding significant respiratory depression are crucial when...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Sakura Takeda Sumire Idzuchi Kentaro Mizuta Source Type: research

A Case of Anterior Arytenoid Cartilage Dislocation During Nasal Tracheal Intubation Using an Indirect Video Laryngoscope
Anesth Prog. 2023 Dec 1;70(4):191-193. doi: 10.2344/837325.ABSTRACTArytenoid cartilage dislocation can occur as a complication of tracheal intubation and laryngeal trauma, but its occurrence with indirect video laryngoscopy has not been reported. This paper reports anterior arytenoid dislocation occurring after nasotracheal intubation performed under indirect laryngoscopy using a video laryngoscope (McGRATH MAC; Medtronic). The dislocation is presumed to have resulted from the laryngoscope blade being initially inserted too deeply and applying pressure to the posterior aspect of the left cricoarytenoid joint. This patient'...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Keiko Fujii-Abe Maho Ikeda Manami Yajima Hiroshi Kawahara Source Type: research